ATI RN
Genitourinary System Quizlet Questions
Question 1 of 5
A patient has had three pregnancies and two live births. The nurse would record this information as gravida _____, para _____, AB _____
Correct Answer: C
Rationale: The correct answer is C: 3; 2; 1. Gravida refers to the total number of pregnancies, including the current one. As the patient has had three pregnancies, the gravida is 3. Para indicates the number of live births, so since the patient has had two live births, the para is 2. AB represents the number of abortions or miscarriages, which is 1 in this case. Therefore, the correct way to record this patient's obstetric history is gravida 3, para 2, AB 1. Choice A (2; 2; 1) is incorrect because the patient has had three pregnancies, not two. Choice B (3; 2; 0) is incorrect as it does not account for the abortion/miscarriage that occurred. Choice D (3; 3; 1) is also incorrect because the patient has had two live births, not three.
Question 2 of 5
The nurse is palpating a female patient's adnexa. The findings include a firm, smooth uterine wall; the ovaries are palpable and feel smooth and firm. The fallopian tube is firm and pulsating. The nurse's most appropriate course of action would be to:
Correct Answer: B
Rationale: The correct answer is B because the findings of a firm, smooth uterine wall, palpable ovaries, and a firm, pulsating fallopian tube are concerning for possible gynecological issues such as ovarian cancer or pelvic inflammatory disease. A prompt referral to a gynecologist is necessary for further evaluation, which may include imaging studies or biopsies to rule out serious conditions. Choice A is incorrect as the findings are not normal. Choice C delays necessary evaluation, potentially leading to a progression of any underlying condition. Choice D assumes the presence of an ovarian cyst without further investigation, which is not appropriate given the pulsating fallopian tube and the need for a comprehensive assessment by a specialist.
Question 3 of 5
A woman has just been diagnosed with HPV or genital warts. The nurse should counsel her to receive regular examinations because this virus makes her at a higher risk for _______ cancer.
Correct Answer: B
Rationale: The correct answer is B: Cervical cancer. HPV is a known risk factor for cervical cancer as certain strains of the virus can lead to changes in cervical cells that may progress to cancer. Regular examinations, such as Pap smears, can help detect any abnormalities early on and prevent the development of cervical cancer. Choice A: Uterine cancer is not directly linked to HPV. Choice C: Ovarian cancer is not commonly associated with HPV. Choice D: Endometrial cancer is not directly caused by HPV. Regular screenings for cervical cancer are crucial for women with HPV to monitor any changes and take necessary preventive measures.
Question 4 of 5
A 33-year-old woman comes to the clinic with a history of abnormal vaginal bleeding and pelvic pain. The nurse suspects that she might have fibroids. Which of the following would the nurse expect to find upon examination?
Correct Answer: A
Rationale: The correct answer is A because fibroids typically present as an enlarged, irregular uterus that may be tender to palpation. Fibroids are non-cancerous growths in the uterus that can cause abnormal bleeding and pelvic pain. The irregular shape and tenderness are characteristic findings of fibroids. Option B is incorrect because fibroids are not typically smooth and do not have smooth contours. Option C is incorrect because fibroids are not usually smooth and tender. Option D is incorrect because fibroids are not soft or mobile; they are usually firm and fixed in place within the uterus.
Question 5 of 5
A 22-year-old woman with a history of chronic pelvic pain is being examined. The nurse suspects endometriosis. Which of the following is the most common symptom of endometriosis?
Correct Answer: B
Rationale: The correct answer is B: Pelvic pain that worsens during menstruation. This is because endometriosis is characterized by the presence of endometrial-like tissue outside the uterus, leading to inflammation and pain in the pelvic region. The pain typically worsens during menstruation due to the shedding of this tissue, causing irritation and further inflammation. A: Pain during menstruation is a common symptom, but what distinguishes endometriosis is the worsening of pain during menstruation. C: Pain during ovulation is not a typical symptom of endometriosis. While some individuals may experience pain during ovulation, it is not the most common symptom. D: Heavy bleeding during menstruation can occur in endometriosis, but it is not the most common symptom. Pelvic pain that worsens during menstruation is the hallmark symptom of endometriosis.